Provider Demographics
NPI:1801153556
Name:WU, GERU (MD)
Entity type:Individual
Prefix:
First Name:GERU
Middle Name:
Last Name:WU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 570461
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77257-0461
Mailing Address - Country:US
Mailing Address - Phone:713-842-0159
Mailing Address - Fax:
Practice Address - Street 1:27700 NORTHWEST FWY STE 460
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-6766
Practice Address - Country:US
Practice Address - Phone:832-598-7398
Practice Address - Fax:832-598-7331
Is Sole Proprietor?:No
Enumeration Date:2012-04-19
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ9094207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX414565801Medicaid
TX382859203Medicaid